Provider Demographics
NPI:1366990483
Name:COX, KATHERINE (AUD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:KAMILOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1115 SE 164TH AVE DEPT 358
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 HILYARD ST STE 620
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:458-205-6500
Practice Address - Fax:458-205-6563
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR030868231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist